Summary
Overview
Work History
Education
Skills
Timeline
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Carla Scott

Health Care

Summary

A highly organized and detail-oriented Claims Processor with extensive experience in the insurance industry. Possesses excellent problem-solving skills and a proven track record of successfully managing a high volume of claims.

Overview

4
4
years of professional experience

Work History

PFS Representative

Banner Healthcare
12.2022 - 01.2024
  • Assigned to process workers compensation payments, adjustments, payer claims research and other accounts receivable work.
  • Makes calls to insurance companies to follow up on bill status for workers compensation claims.
  • Resubmits claims for insurance carriers for denials or claims that have not been received.
  • Work's independently under general supervision.

PAS Representative

Banner Imaging
07.2022 - 12.2022
  • Greeted patients in a professional and courteous manner.
  • Obtained information, such as, insurance, orders, outside records and ensuring patient data is up to date.
  • Collecting copayments and/or facilitating self-payments for exams.
  • Answering phones and directing calls to the correct department.
  • Scheduling walk-in patient exams. Burned CD's and obtained signed ROI.

Front Office Registrar

Summit Cancer Center
10.2020 - 01.2022
  • Greeted every patient with personable approach and provided knowledgeable services.
  • Verified paperwork accuracy and checked for completion prior to processing.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Updated computer system with latest information to keep records current and accurate.
  • Schedule follow up appointments for patients.

Patient Registrar

Mercy Gilbert Hospital
03.2020 - 06.2020
  • Facilitated timely check-in by greeting visitors and establishing purpose of visits.
  • Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
  • Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.

Customer Service Representative

Centene Corporation (Contract Position)
08.2019 - 03.2020
  • Answer inbound calls for providers regarding claims for Ambetter, Allwell and Medicaid.
  • Answer inbound calls for providers regarding benefits/eligibility for Arizona Complete Health Plans.
  • Documented conversations with providers regarding benefits/eligibility/problems and solutions for claims,

Education

Certificate - Medical Billing And Coding

Ultimate Medical Academy - Clearwater
Clearwater, FL
05.2001 -

Skills

Ability to prioritize and complete multiple tasks, Ability to work independently and accurately with high volumes of data and minimal supervision and be able to interface with difficult patients and/or third party insurance companies Excellent communication skills, both written and verbal Excellent organizational skills

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Timeline

PFS Representative

Banner Healthcare
12.2022 - 01.2024

PAS Representative

Banner Imaging
07.2022 - 12.2022

Front Office Registrar

Summit Cancer Center
10.2020 - 01.2022

Patient Registrar

Mercy Gilbert Hospital
03.2020 - 06.2020

Customer Service Representative

Centene Corporation (Contract Position)
08.2019 - 03.2020

Certificate - Medical Billing And Coding

Ultimate Medical Academy - Clearwater
05.2001 -

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Carla ScottHealth Care